15D0687311 CLIA NUMBER - RUSH COUNTY HEALTH DEPARTMENT

Laboratory Demographics

CLIA Number: 15D0687311

Facility Name: RUSH COUNTY HEALTH DEPARTMENT

Facility Address:
ROOM 5 COURT HOUSE
RUSHVILLE, IN
ZIP 46173
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Facility Phone Number: 317 932-3103

Facility Type: Other

Certificate Type: Waiver

NPI Number: 1821176033

Taxonomy: 251V00000X - Voluntary or Charitable

CLIA Record

Field Name	Field Value
CLIA Number	15D0687311
LAB Type	Other
Facility Name	RUSH COUNTY HEALTH DEPARTMENT
Street	ROOM 5 COURT HOUSE
City	RUSHVILLE
State	IN
ZIP	46173
Phone	317 932-3103
CertificateType	4
CertificateEffectiveDate	9/1/2022
CertificateExpirationDate	8/31/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024